PMID- 30761721 OWN - NLM STAT- MEDLINE DCOM- 20200106 LR - 20200106 IS - 1520-7560 (Electronic) IS - 1520-7552 (Linking) VI - 35 IP - 4 DP - 2019 May TI - The risk of mortality among people with type 2 diabetes in Latin America: A systematic review and meta-analysis of population-based cohort studies. PG - e3139 LID - 10.1002/dmrr.3139 [doi] AB - Type 2 diabetes mellitus (T2DM) is associated with a high mortality risk, although the magnitude of this association remains unknown in Latin America (LA). We aimed to assess the strength of the association between T2DM and all-cause and cause-specific mortality in population-based cohort studies in LA. Systematic review and meta-analysis: inclusion criteria were (1) men and women 18 years old and above with T2DM; (2) study outcomes all-cause and/or cause-specific mortality; and (3) using people without T2DM as comparison group. Five databases (Scopus, Medline, Embase, Global Health, and LILACS) were searched. Risk of bias was evaluated with the ROBINS-I criteria. Initially, there were 979 identified studies, of which 17 were selected for qualitative synthesis; 14 were included in the meta-analysis (N = 416 821). Self-reported T2DM showed a pooled relative risk (RR) of 2.49 for all-causes mortality (I-squared [I(2) ] = 85.7%, p < 0.001; 95% confidence interval [CI], 1.96-3.15). T2DM based on a composite definition was associated with a 2.26-fold higher all-cause mortality (I(2) = 93.9%, p < 0.001; 95% CI, 1.36-3.74). The pooled risk estimates were similar between men and women, although higher at younger ages. The pooled RR for cardiovascular mortality was 2.76 (I(2) = 59.2%; p < 0.061; 95% CI, 1.99-3.82) and for renal mortality 15.85 (I(2) = 0.00%; p < 0.645; 95% CI, 9.82-25.57). Using available population-based cohort studies, this work has identified and estimated the strength of the association between T2DM and mortality in LA. The higher mortality risk compared with high-income countries deserves close attention from health policies makers and clinicians to improve diabetes care and control hence preventing complications and delaying death. CI - (c) 2019 John Wiley & Sons, Ltd. FAU - Carrillo-Larco, Rodrigo M AU - Carrillo-Larco RM AUID- ORCID: 0000-0002-2090-1856 AD - Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK. AD - CRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru. FAU - Barengo, Noel C AU - Barengo NC AD - Department of Medical and Population Health Sciences Research, Herbert Wertheim College of Medicine, Florida International University, Miami, FL, USA. AD - Department of Public Health, University of Helsinki, Helsinki, Finland. FAU - Albitres-Flores, Leonardo AU - Albitres-Flores L AD - CRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru. AD - Facultad de Medicina, Universidad Nacional de Trujillo, Trujillo, Peru. AD - Sociedad Cientifica de Estudiantes de Medicina de la Universidad Nacional de Trujillo-SOCEMUNT, Trujillo, Peru. FAU - Bernabe-Ortiz, Antonio AU - Bernabe-Ortiz A AUID- ORCID: 0000-0002-6834-1376 AD - CRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru. AD - Facultad de Ciencias de la Salud, Universidad Peruana de Ciencias Aplicadas, Lima, Peru. LA - eng PT - Journal Article PT - Meta-Analysis PT - Systematic Review DEP - 20190304 PL - England TA - Diabetes Metab Res Rev JT - Diabetes/metabolism research and reviews JID - 100883450 SB - IM MH - Cohort Studies MH - Diabetes Mellitus, Type 2/*epidemiology/*mortality MH - Humans MH - Latin America/epidemiology MH - Prevalence MH - Prognosis MH - Survival Rate OTO - NOTNLM OT - Latin America OT - cohort studies OT - diabetes OT - mortality EDAT- 2019/02/15 06:00 MHDA- 2020/01/07 06:00 CRDT- 2019/02/15 06:00 PHST- 2019/01/04 00:00 [received] PHST- 2019/02/06 00:00 [revised] PHST- 2019/02/11 00:00 [accepted] PHST- 2019/02/15 06:00 [pubmed] PHST- 2020/01/07 06:00 [medline] PHST- 2019/02/15 06:00 [entrez] AID - 10.1002/dmrr.3139 [doi] PST - ppublish SO - Diabetes Metab Res Rev. 2019 May;35(4):e3139. doi: 10.1002/dmrr.3139. Epub 2019 Mar 4.